Total health inspections
3
New Hampshire average 3.5
Last Health inspection on Jun 2025
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Nursing Home in New Hampshire
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Covenant Living of Keene (Assisted Living and Memory Care)
Nursing Home in New Hampshire
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Covenant Living of Keene (Assisted Living and Memory Care)
Covenant Living of Keene is a senior living community located in Keene, NH. It offers a variety of services including assisted living, memory care, and respite care. The community provides a vibrant lifestyle with numerous events and activities for residents.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
61
Residents per day (avg)
19
61-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
1 year in operation
A newer community that may feature more recent facilities and programs.
About this community
Facility TypeSupported Residential Care Facility
StatusActive
IssuanceFebruary 1, 2025
CountyCheshire
License Number04575
CMS Certification Number305103
Covenant Living of Keene (Assisted Living and Memory Care) is administrated by Jennifer Norris.
Rehabilitation Services
Respite Care
Skilled Nursing
24-Hour Staffing
Dining Options
Events And Activities
Wellness Programs
Caregiver Support Groups
ActivitiesJoin us on campus for one of our exciting events. From live performances and educational talks to dine-in luncheons and open houses.
Specific ProgramsAssisted Living, Memory Care, Respite Care, Skilled Nursing, Rehabilitation, Caregiver Support Groups
Operating HoursMonday-Sunday: 7:00 a.m. – 8:00 p.m.
Food DescriptionDining options available with a culinary team preparing meals.
Health Inspection History
Inspections
Total health citations
11
New Hampshire average 14.4
Citations per inspection
3.67
New Hampshire average 3.99
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 11 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than New Hampshire averageNew Hampshire average: 0.2
Serious Health citations
0
0
100% better than New Hampshire averageNew Hampshire average: 0.1
0 critical citations
0 serious citations
9 moderate citations
2 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jun 25, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jun 25, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jun 25, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jun 25, 2025
Corrected
Care Planning minor citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jun 25, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jun 25, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jun 11, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jun 11, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around New Hampshire The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.
Filter by care type
Covenant Living of Keene (Assisted Living and Memory Care)
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Keene
20
-
-
5.57
+30%
0
11
3.7
0
19
-
-
-
-
-
-
305103
Bedford Nursing and Rehabilitation Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Bedford
102
76.1%
-6%
3.05
-29%
0
15
5.0
0
86
-
-
Woh Llc
$9.4M
$5.6M
59.8%
305086
Bedford Hills
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Bedford
147
94.2%
+16%
3.33
-22%
1
8
2.0
1
135
-
-
Forrence, Heidi
$25.6M
$8.5M
33.2%
305060
Alpine Healthcare Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Keene
85
84.4%
+4%
3.21
-25%
0
17
5.7
0
73
-
-
White Mountain Peak Healthcare Llc
$8.5M
$3.8M
44.8%
305062
Brookdale Spruce Wood
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Durham
80
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
Places of interest near Covenant Living of Keene (Assisted Living and Memory Care)
2.1 miles from city center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
70
Employees
54
Contractors
16
Staff to resident ratio
0:0
100% worse than New Hampshire averageNew Hampshire average ratio: 1.87:1
Avg staff/day
18
Average shift
7 hours
10% worse than New Hampshire averageNew Hampshire average: 7.8 hours
Total staff hours (quarter)
11,396
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
26
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
14.9%
1,701 contractor hours this quarter
Physical Therapy Assistant: 3
Respiratory Therapy Technician: 3
Occupational Therapy Aide: 2
Registered Nurse: 2
Occupational Therapy Assistant: 2
Qualified Social Worker: 2
Speech Language Pathologist: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 26 | 0 | 26 | 3,838 | 91 | 100% | 7.5 |
| Licensed Practical Nurse | 10 | 0 | 10 | 1,835 | 88 | 97% | 9.1 |
| Registered Nurse | 8 | 2 | 10 | 1,694 | 90 | 99% | 8.6 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 957 | 76 | 84% | 7.2 |
| Physical Therapy Assistant | 0 | 3 | 3 | 606 | 69 | 76% | 4.6 |
| Dietitian | 1 | 0 | 1 | 558 | 64 | 70% | 8.7 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 373 | 64 | 70% | 4.3 |
| Nurse Practitioner | 1 | 0 | 1 | 339 | 44 | 48% | 7.7 |
| Medication Aide/Technician | 5 | 0 | 5 | 278 | 32 | 35% | 6.9 |
| Speech Language Pathologist | 0 | 1 | 1 | 268 | 61 | 67% | 4.4 |
| Occupational Therapy Aide | 0 | 2 | 2 | 117 | 49 | 54% | 2.4 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 14 | 5 | 5% | 2.8 |
| Qualified Social Worker | 0 | 2 | 2 | 6 | 13 | 14% | 0.4 |
| Medical Director | 0 | 1 | 1 | 1 | 1 | 1% | 1 |
26 Certified Nursing Assistant
% of Days
100%
10 Licensed Practical Nurse
% of Days
97%
10 Registered Nurse
% of Days
99%
2 Clinical Nurse Specialist
% of Days
84%
3 Physical Therapy Assistant
% of Days
76%
1 Dietitian
% of Days
70%
1 Administrator
% of Days
70%
3 Respiratory Therapy Technician
% of Days
70%
1 Nurse Practitioner
% of Days
48%
5 Medication Aide/Technician
% of Days
35%
1 Speech Language Pathologist
% of Days
67%
2 Occupational Therapy Aide
% of Days
54%
2 Occupational Therapy Assistant
% of Days
5%
2 Qualified Social Worker
% of Days
14%
1 Medical Director
% of Days
1%
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
19.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
19.2
69% worse than New Hampshire averageNew Hampshire average: 11.4
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
33.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
33.9
46% worse than New Hampshire averageNew Hampshire average: 23.2
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
30.6%
Percent of long-stay residents whose need for help with daily activities has increased
30.6%
39% worse than New Hampshire averageNew Hampshire average: 21.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
41.4%
Percent of long-stay residents whose ability to move independently worsened
41.4%
104% worse than New Hampshire averageNew Hampshire average: 20.3%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.8%
10% worse than New Hampshire averageNew Hampshire average: 27.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.4%
Percent of long-stay residents experiencing one or more falls with major injury
6.4%
40% worse than New Hampshire averageNew Hampshire average: 4.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.1%
Percent of long-stay high risk residents with pressure ulcers
3.1%
31% better than New Hampshire averageNew Hampshire average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
6.8%
Percent of long-stay residents with a urinary tract infection
6.8%
173% worse than New Hampshire averageNew Hampshire average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
14.7%
Percent of long-stay residents who lose too much weight
14.7%
162% worse than New Hampshire averageNew Hampshire average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than New Hampshire averageNew Hampshire average: 8.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
19.2%
Percent of long-stay residents who received an antipsychotic medication
19.2%
10% worse than New Hampshire averageNew Hampshire average: 17.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with New Hampshire averageNew Hampshire average: 96.0%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.8%
12% better than New Hampshire averageNew Hampshire average: 83.8%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
11% better than New Hampshire averageNew Hampshire average: 1.6%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.2%
14% better than New Hampshire averageNew Hampshire average: 83.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for New Hampshire Seniors
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